MICHIGAN INSTITUTE OF UROLOGY PC
NPI 1275301632
Urology in Brighton, MI

NPI Status: Active since December 15, 2023

Contact Information

2300 GENOA BUSINESS PARK DR STE 120
BRIGHTON, MI
ZIP 48114
Phone: (586) 771-4820

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  • Organization
  • Urology
  • CLIA Number: 23D2055198
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-05-2027

About MICHIGAN INSTITUTE OF UROLOGY PC

This page provides the complete NPI Profile along with additional information for Michigan Institute Of Urology Pc, a provider established in Brighton, Michigan operating as a Urology. The healthcare provider is registered in the NPI registry with number 1275301632 assigned on December 2023. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated one year ago. Michigan Institute Of Urology Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tracy Lee Mcauley (Credentialing Specialist)

NPI
1275301632
Provider Name
MICHIGAN INSTITUTE OF UROLOGY PC
Entity Type
Organization
Location Address
2300 GENOA BUSINESS PARK DR STE 120 BRIGHTON, MI 48114
Location Phone
(586) 771-4820
Mailing Address
20952 E 12 MILE RD STE 200 SAINT CLAIR SHORES, MI 48081
Mailing Phone
(586) 771-4820
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2023
Last Update Date
01-14-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRACY LEE MCAULEY

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(586) 771-4820

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2055198
Facility Type
Physician Office
Certificate Effective Date
March 06, 2025
Certificate Expiration Date
March 05, 2027
Laboratory Director
FADI A. ELIYA
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Michigan Institute Of Urology Pc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275301632, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 3 → 6 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 6 + 0 + 2 + 6 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1275301632.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Non-Pharmacy Dispensing Site
2300 GENOA BUSINESS PARK DR STE 120
BRIGHTON, MI 48114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275301632, enumerated as an "organization" on December 15, 2023.

The provider is located at 2300 GENOA BUSINESS PARK DR STE 120 BRIGHTON, MI 48114 and the phone number is (586) 771-4820.

Urology with taxonomy code 208800000X.